Individual
KRISTEN CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4696 WEST OVERLAND RD, STE 132, BOISE, ID 83705-2845
(208) 994-5662
Mailing address
4696 WEST OVERLAND RD, STE 132, BOISE, ID 83705-2845
(208) 994-5662
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10495
ID
Other
Enumeration date
05/17/2024
Last updated
01/15/2025
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